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Herein, we report a case of an advanced isthmic pregnancy endangering the life of the mother. A 23-year-old woman, gravida 2, para 1, was being routinely examined at the university polyclinic, when a precipitous deterioration of vital signs developed. An urgent laparotomy was undertaken, and a live isthmic pregnancy at 16 weeks of gestation, leading to massive intra-abdominal hemorrhage, was revealed. An accurate diagnosis had been missed at an early stage of the pregnancy. In contrast to the present case, isthmic ectopic pregnancies mostly rupture at early weeks. Continuation of pregnancy with a live fetus is a rare event in isthmic ectopic cases. Clinicians must be aware of the implantation site at an early stage of gestation to avoid a misdiagnosis as an intrauterine pregnancy at later stages.

Advanced Isthmic Ectopic Pregnancy Endangering the Life of the Mother: Case Report